Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Export CSV
Hospital

PENN HIGHLANDS DUBOIS

Dubois, PA · CCN 390086 · Rates published

747 distinct procedures filed
102 distinct payers
11,084 rate rows
2025-08-01 last MRF observed
Data quality

2,896 of 11,084 rate rows are consumer-grade (26.1%)

8,188 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 7,590
professional (physician) fee — not the facility price 598
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.phhealthcare.org/download/?id=15371
Found on page https://www.phhealthcare.org/patients-visitors/patient-billing-services
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 4a37dec84273b0f9… · 7,541,871 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 5 $232,085.42 $232,085.42 $232,085.42 nat. median
$41,228
outlier · 5.6×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 1 $97,746.70 $97,746.70 $97,746.70 nat. median
$79,312
1.2× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $73,459.72 $73,459.72 $73,459.72 nat. median
$64,508
1.1× median
9312
OTHER 		Inj., Ravulizumab-cwvz 10 Mg 1 $71,595.40 $71,595.40 $71,595.40 nat. median
$229
outlier · 312.2×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 $67,693.85 $67,693.85 $67,693.85 nat. median
$59,099
1.1× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $64,484.22 $64,484.22 $64,484.22 nat. median
$65,393
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 $60,534.00 $60,534.00 $60,534.00 nat. median
$52,303
1.2× median
9109
OTHER 		Inj, Elahere, 1 Mg 1 $58,025.34 $58,025.34 $58,025.34 nat. median
$71
outlier · 815.3×
9302
OTHER 		Inj Daunorubicin, Cytarabine 1 $57,139.86 $57,139.86 $57,139.86 nat. median
$266
outlier · 215.1×
9494
OTHER 		Injection, Ocrelizumab 6 $56,300.79 $56,300.79 $56,300.79 nat. median
$61
outlier · 921.5×
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 3 $55,313.54 $55,313.54 $55,313.54 nat. median
$32,825
1.7× median
9110
OTHER 		Inj, Tremelimumab-actl, 1 Mg 1 $54,906.48 $54,906.48 $54,906.48 nat. median
$143
outlier · 383.3×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $49,160.07 $49,160.07 $49,160.07 nat. median
$64,732
0.8× median
9284
OTHER 		Ipilimumab Injection 2 $48,587.98 $48,587.98 $48,587.98 nat. median
$188
outlier · 259.1×
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 3 $48,500.83 $48,500.83 $48,500.83 nat. median
$39,075
1.2× median
504
MS_DRG 		Foot Procedures With Cc 1 $47,864.33 $47,864.33 $47,864.33 nat. median
$18,582
outlier · 2.6×
518
MS_DRG 		Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 4 $46,867.53 $46,867.53 $46,867.53 nat. median
$36,123
1.3× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 $46,772.17 $46,772.17 $46,772.17 nat. median
$65,950
0.7× median
574
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 $45,073.65 $45,073.65 $45,073.65 nat. median
$33,674
1.3× median
791
MS_DRG 		Prematurity With Major Problems 2 $44,472.28 $44,472.28 $44,472.28 nat. median
$35,271
1.3× median
9261
OTHER 		Ustekinumab Sub Cu Inj, 1 Mg 1 $44,313.44 $44,313.44 $44,313.44 nat. median
$163
outlier · 271.7×
236
MS_DRG 		Coronary Bypass Without Cardiac Catheterization Without Mcc 8 $44,172.01 $44,172.01 $44,172.01 nat. median
$42,002
1.1× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 1 $43,949.45 $43,949.45 $43,949.45 nat. median
$59,898
0.7× median
5222
OTHER 		Level 2 Pacemaker And Similar Procedures 10 $42,654.29 $42,654.29 $42,654.29 nat. median
$8,603
outlier · 5.0×
0813
OTHER 		Injection, Imetelstat, 1 Mg 1 $42,584.95 $42,584.95 $42,584.95 nat. median
$57
outlier · 746.7×
322
MS_DRG 		Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 15 $41,326.08 $41,326.08 $41,326.08 nat. median
$19,070
outlier · 2.2×
834
MS_DRG 		Acute Leukemia With Mcc 1 $41,210.97 $41,210.97 $41,210.97 nat. median
$53,172
0.8× median
9287
OTHER 		Brentuximab Vedotin Inj 2 $40,773.61 $40,773.61 $40,773.61 nat. median
$268
outlier · 151.9×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $40,467.60 $40,467.60 $40,467.60 nat. median
$61,920
0.7× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 9 $39,530.53 $39,530.53 $39,530.53 nat. median
$40,454
1.0× median
9281
OTHER 		Injection, Pegloticase 2 $38,461.22 $38,461.22 $38,461.22 nat. median
$3,769
outlier · 10.2×
5232
OTHER 		Level 2 Icd And Similar Procedures 8 $38,209.72 $38,209.72 $38,209.72 nat. median
$32,531
1.2× median
653
MS_DRG 		Major Bladder Procedures With Mcc 2 $38,102.18 $38,102.18 $38,102.18 nat. median
$51,418
0.7× median
26
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Cc 4 $37,944.97 $37,944.97 $37,944.97 nat. median
$31,106
1.2× median
963
MS_DRG 		Other Multiple Significant Trauma With Mcc 1 $37,704.56 $37,704.56 $37,704.56 nat. median
$26,957
1.4× median
904
MS_DRG 		Skin Grafts For Injuries With Cc/Mcc 1 $37,325.77 $37,325.77 $37,325.77 nat. median
$36,505
1.0× median
244
MS_DRG 		Permanent Cardiac Pacemaker Implant Without Cc/Mcc 1 $36,664.80 $36,664.80 $36,664.80 nat. median
$19,104
1.9× median
377
MS_DRG 		Gastrointestinal Hemorrhage With Mcc 9 $36,369.01 $36,369.01 $36,369.01 nat. median
$18,249
2.0× median
0720
OTHER 		Inj Glofitamab Gxbm, 2.5 Mg 1 $34,655.66 $34,655.66 $34,655.66 nat. median
$1,061
outlier · 32.7×
466
MS_DRG 		Revision Of Hip Or Knee Replacement With Mcc 1 $34,638.03 $34,638.03 $34,638.03 nat. median
$49,191
0.7× median
165
MS_DRG 		Major Chest Procedures Without Cc/Mcc 3 $34,456.84 $34,456.84 $34,456.84 nat. median
$19,858
1.7× median
492
MS_DRG 		Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 $34,216.94 $34,216.94 $34,216.94 nat. median
$35,489
1.0× median
331
MS_DRG 		Major Small And Large Bowel Procedures Without Cc/Mcc 7 $34,042.18 $34,042.18 $34,042.18 nat. median
$17,703
1.9× median
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 1 $33,891.94 $33,891.94 $33,891.94 nat. median
$52,746
0.6× median
143
MS_DRG 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 3 $33,005.40 $33,005.40 $33,005.40 nat. median
$34,132
1.0× median
515
MS_DRG 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 $32,266.99 $32,266.99 $32,266.99 nat. median
$31,607
1.0× median
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 $32,180.56 $32,180.56 $32,180.56 nat. median
$40,166
0.8× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 $31,205.87 $31,205.87 $31,205.87 nat. median
$37,662
0.8× median
828
MS_DRG 		Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r.… 2 $30,799.78 $30,799.78 $30,799.78 nat. median
$17,402
1.8× median
9057
OTHER 		Inj Nivol Relatlimab 3mg/1mg 1 $30,192.27 $30,192.27 $30,192.27 nat. median
$202
outlier · 149.6×

Other procedures at this hospital

Browse this hospital's 747 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
0720 OTHER Inj Glofitamab Gxbm, 2.5 Mg 1 1 — — $34,655.66 $34,655.66 $34,655.66 2025-08-01
0768 OTHER Inj, Tarlatamab-dlle, 1 Mg 2 2 — — $12,292.92 $12,292.92 $12,292.92 2025-08-01
0813 OTHER Injection, Imetelstat, 1 Mg 1 1 — — $42,584.95 $42,584.95 $42,584.95 2025-08-01
100 MS_DRG Seizures With Mcc 7 7 — — $10,790.68 $10,790.68 $10,790.68 2025-08-01
101 MS_DRG Seizures Without Mcc 9 9 — — $13,118.64 $13,118.64 $13,118.64 2025-08-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $19,425.15 $19,425.15 $19,425.15 2025-08-01
113 MS_DRG Orbital Procedures With Cc/Mcc 2 2 — — $25,930.59 $25,930.59 $25,930.59 2025-08-01
137 MS_DRG Mouth Procedures With Cc/Mcc 1 1 — — $12,589.31 $12,589.31 $12,589.31 2025-08-01
140 MS_DRG Major Head And Neck Procedures With Mcc 2 2 — — $16,446.96 $16,446.96 $16,446.96 2025-08-01
141 MS_DRG Major Head And Neck Procedures With Cc 2 2 — — $20,881.97 $20,881.97 $20,881.97 2025-08-01
142 MS_DRG Major Head And Neck Procedures Without Cc/Mcc 2 2 — — $12,917.35 $12,917.35 $12,917.35 2025-08-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 3 3 — — $33,005.40 $33,005.40 $33,005.40 2025-08-01
1471 OTHER Injection, Pertuzumab, 1 Mg 7 7 — — $16,003.69 $16,003.69 $16,003.69 2025-08-01
1488 OTHER Injection, Ramucirumab 3 3 — — $21,876.76 $21,876.76 $21,876.76 2025-08-01
1489 OTHER Inj Vedolizumab IV 1 Mg 6 6 — — $12,327.50 $12,327.50 $12,327.50 2025-08-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 2 2 — — $14,314.92 $14,314.92 $14,314.92 2025-08-01
164 MS_DRG Major Chest Procedures With Cc 7 7 — — $26,371.58 $26,371.58 $26,371.58 2025-08-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 3 3 — — $34,456.84 $34,456.84 $34,456.84 2025-08-01
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 5 5 — — $22,193.03 $22,193.03 $22,193.03 2025-08-01
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/Mcc 3 3 — — $12,305.07 $12,305.07 $12,305.07 2025-08-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 8 8 — — $9,579.51 $9,579.51 $9,579.51 2025-08-01
180 MS_DRG Respiratory Neoplasms With Mcc 4 4 — — $16,215.08 $16,215.08 $16,215.08 2025-08-01
181 MS_DRG Respiratory Neoplasms With Cc 2 2 — — $9,838.48 $9,838.48 $9,838.48 2025-08-01
183 MS_DRG Major Chest Trauma With Mcc 7 7 — — $14,049.82 $14,049.82 $14,049.82 2025-08-01
185 MS_DRG Major Chest Trauma Without Cc/Mcc 7 7 — — $10,541.07 $10,541.07 $10,541.07 2025-08-01
196 MS_DRG Interstitial Lung Disease With Mcc 3 3 — — $13,140.64 $13,140.64 $13,140.64 2025-08-01
199 MS_DRG Pneumothorax With Mcc 5 5 — — $17,638.61 $17,638.61 $17,638.61 2025-08-01
204 MS_DRG Respiratory Signs And Symptoms 3 3 — — $11,863.23 $11,863.23 $11,863.23 2025-08-01
205 MS_DRG Other Respiratory System Diagnoses With Mcc 4 4 — — $14,219.44 $14,219.44 $14,219.44 2025-08-01
206 MS_DRG Other Respiratory System Diagnoses Without Mcc 2 2 — — $18,556.62 $18,556.62 $18,556.62 2025-08-01
2070 OTHER Inj, Eculizumab, 2 Mg 1 1 — — $27,746.02 $27,746.02 $27,746.02 2025-08-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 9 9 — — $23,118.94 $23,118.94 $23,118.94 2025-08-01
215 MS_DRG Other Heart Assist System Implant 1 1 — — $11,730.13 $11,730.13 $11,730.13 2025-08-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $73,459.72 $73,459.72 $73,459.72 2025-08-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $40,467.60 $40,467.60 $40,467.60 2025-08-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 1 1 — — $97,746.70 $97,746.70 $97,746.70 2025-08-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 1 1 — — $43,949.45 $43,949.45 $43,949.45 2025-08-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 8 8 — — $44,172.01 $44,172.01 $44,172.01 2025-08-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 3 3 — — $55,313.54 $55,313.54 $55,313.54 2025-08-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 4 4 — — $15,387.45 $15,387.45 $15,387.45 2025-08-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 1 1 — — $36,664.80 $36,664.80 $36,664.80 2025-08-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 1 1 — — $15,791.05 $15,791.05 $15,791.05 2025-08-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 1 1 — — $23,610.98 $23,610.98 $23,610.98 2025-08-01
252 MS_DRG Other Vascular Procedures With Mcc 5 5 — — $19,913.08 $19,913.08 $19,913.08 2025-08-01
253 MS_DRG Other Vascular Procedures With Cc 3 3 — — $21,971.34 $21,971.34 $21,971.34 2025-08-01
254 MS_DRG Other Vascular Procedures Without Cc/Mcc 2 2 — — $23,189.99 $23,189.99 $23,189.99 2025-08-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 2 2 — — $17,799.22 $17,799.22 $17,799.22 2025-08-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 4 4 — — $37,944.97 $37,944.97 $37,944.97 2025-08-01
264 MS_DRG Other Circulatory System O.r. Procedures 2 2 — — $18,631.64 $18,631.64 $18,631.64 2025-08-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 2 — — $46,772.17 $46,772.17 $46,772.17 2025-08-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 2 2 — — $17,595.55 $17,595.55 $17,595.55 2025-08-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 7 7 — — $25,276.76 $25,276.76 $25,276.76 2025-08-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 3 3 — — $17,962.69 $17,962.69 $17,962.69 2025-08-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 1 — — $67,693.85 $67,693.85 $67,693.85 2025-08-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 5 5 — — $17,635.99 $17,635.99 $17,635.99 2025-08-01
283 MS_DRG Acute Myocardial Infarction, Expired With Mcc 4 4 — — $17,786.45 $17,786.45 $17,786.45 2025-08-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 7 7 — — $16,904.33 $16,904.33 $16,904.33 2025-08-01
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 10 10 — — $13,722.12 $13,722.12 $13,722.12 2025-08-01
291 MS_DRG Heart Failure And Shock With Mcc 7 7 — — $11,479.10 $11,479.10 $11,479.10 2025-08-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 7 7 — — $11,857.45 $11,857.45 $11,857.45 2025-08-01
302 MS_DRG Atherosclerosis With Mcc 1 1 — — $10,323.09 $10,323.09 $10,323.09 2025-08-01
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 3 3 — — $10,703.06 $10,703.06 $10,703.06 2025-08-01
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 7 7 — — $10,011.19 $10,011.19 $10,011.19 2025-08-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 5 5 — — $14,027.11 $14,027.11 $14,027.11 2025-08-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 15 15 — — $41,326.08 $41,326.08 $41,326.08 2025-08-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 1 1 — — $10,831.46 $10,831.46 $10,831.46 2025-08-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 1 1 — — $16,526.38 $16,526.38 $16,526.38 2025-08-01
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc 2 2 — — $13,021.03 $13,021.03 $13,021.03 2025-08-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 7 7 — — $18,614.31 $18,614.31 $18,614.31 2025-08-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 7 7 — — $34,042.18 $34,042.18 $34,042.18 2025-08-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 1 1 — — $9,758.92 $9,758.92 $9,758.92 2025-08-01
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/Mcc 2 2 — — $12,376.65 $12,376.65 $12,376.65 2025-08-01
347 MS_DRG Anal And Stomal Procedures With Mcc 1 1 — — $24,129.06 $24,129.06 $24,129.06 2025-08-01
349 MS_DRG Anal And Stomal Procedures Without Cc/Mcc 1 1 — — $12,146.83 $12,146.83 $12,146.83 2025-08-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 1 1 — — $21,530.60 $21,530.60 $21,530.60 2025-08-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 3 3 — — $18,786.04 $18,786.04 $18,786.04 2025-08-01
369 MS_DRG Major Esophageal Disorders With Cc 4 4 — — $16,767.33 $16,767.33 $16,767.33 2025-08-01
37 MS_DRG Extracranial Procedures With Mcc 2 2 — — $22,396.87 $22,396.87 $22,396.87 2025-08-01
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 3 3 — — $23,101.21 $23,101.21 $23,101.21 2025-08-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 8 8 — — $18,745.49 $18,745.49 $18,745.49 2025-08-01
373 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc 3 3 — — $18,013.74 $18,013.74 $18,013.74 2025-08-01
374 MS_DRG Digestive Malignancy With Mcc 4 4 — — $16,801.03 $16,801.03 $16,801.03 2025-08-01
375 MS_DRG Digestive Malignancy With Cc 5 5 — — $20,195.03 $20,195.03 $20,195.03 2025-08-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 9 9 — — $36,369.01 $36,369.01 $36,369.01 2025-08-01
38 MS_DRG Extracranial Procedures With Cc 3 3 — — $16,526.64 $16,526.64 $16,526.64 2025-08-01
381 MS_DRG Complicated Peptic Ulcer With Cc 3 3 — — $10,148.00 $10,148.00 $10,148.00 2025-08-01
383 MS_DRG Uncomplicated Peptic Ulcer With Mcc 1 1 — — $18,470.66 $18,470.66 $18,470.66 2025-08-01
388 MS_DRG Gastrointestinal Obstruction With Mcc 4 4 — — $12,276.41 $12,276.41 $12,276.41 2025-08-01
389 MS_DRG Gastrointestinal Obstruction With Cc 10 10 — — $11,992.35 $11,992.35 $11,992.35 2025-08-01
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 7 7 — — $12,987.48 $12,987.48 $12,987.48 2025-08-01
398 MS_DRG Appendix Procedures With Cc 1 1 — — $12,155.78 $12,155.78 $12,155.78 2025-08-01
399 MS_DRG Appendix Procedures Without Cc/Mcc 4 4 — — $9,985.98 $9,985.98 $9,985.98 2025-08-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 2 2 — — $27,066.14 $27,066.14 $27,066.14 2025-08-01
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 2 2 — — $24,966.58 $24,966.58 $24,966.58 2025-08-01
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/Mcc 1 1 — — $15,518.32 $15,518.32 $15,518.32 2025-08-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 4 4 — — $20,292.57 $20,292.57 $20,292.57 2025-08-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 5 5 — — $15,867.28 $15,867.28 $15,867.28 2025-08-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 3 3 — — $23,553.85 $23,553.85 $23,553.85 2025-08-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 1 1 — — $10,313.58 $10,313.58 $10,313.58 2025-08-01
421 MS_DRG Hepatobiliary Diagnostic Procedures With Cc 1 1 — — $11,991.24 $11,991.24 $11,991.24 2025-08-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $32,180.56 $32,180.56 $32,180.56 2025-08-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 8 8 — — $15,531.32 $15,531.32 $15,531.32 2025-08-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 3 3 — — $14,772.58 $14,772.58 $14,772.58 2025-08-01
444 MS_DRG Disorders Of The Biliary Tract With Mcc 6 6 — — $13,773.86 $13,773.86 $13,773.86 2025-08-01
446 MS_DRG Disorders Of The Biliary Tract Without Cc/Mcc 5 5 — — $11,994.33 $11,994.33 $11,994.33 2025-08-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $64,484.22 $64,484.22 $64,484.22 2025-08-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 3 3 — — $48,500.83 $48,500.83 $48,500.83 2025-08-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $33,891.94 $33,891.94 $33,891.94 2025-08-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 4 4 — — $27,068.06 $27,068.06 $27,068.06 2025-08-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $11,907.70 $11,907.70 $11,907.70 2025-08-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $34,638.03 $34,638.03 $34,638.03 2025-08-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 4 4 — — $28,200.58 $28,200.58 $28,200.58 2025-08-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 3 3 — — $20,530.47 $20,530.47 $20,530.47 2025-08-01
472 MS_DRG Cervical Spinal Fusion With Cc 2 2 — — $22,191.37 $22,191.37 $22,191.37 2025-08-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 1 1 — — $9,543.70 $9,543.70 $9,543.70 2025-08-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 1 1 — — $23,373.00 $23,373.00 $23,373.00 2025-08-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 3 3 — — $12,093.89 $12,093.89 $12,093.89 2025-08-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 2 2 — — $16,475.74 $16,475.74 $16,475.74 2025-08-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 5 5 — — $16,574.97 $16,574.97 $16,574.97 2025-08-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 8 8 — — $21,005.96 $21,005.96 $21,005.96 2025-08-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 10 10 — — $15,254.08 $15,254.08 $15,254.08 2025-08-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 5 5 — — $17,458.42 $17,458.42 $17,458.42 2025-08-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $22,437.80 $22,437.80 $22,437.80 2025-08-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 5 — — $34,216.94 $34,216.94 $34,216.94 2025-08-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 10 10 — — $28,348.33 $28,348.33 $28,348.33 2025-08-01
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc 6 6 — — $15,988.10 $15,988.10 $15,988.10 2025-08-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $25,608.65 $25,608.65 $25,608.65 2025-08-01
501 MS_DRG Soft Tissue Procedures With Cc 4 4 — — $14,892.72 $14,892.72 $14,892.72 2025-08-01
502 MS_DRG Soft Tissue Procedures Without Cc/Mcc 1 1 — — $14,967.46 $14,967.46 $14,967.46 2025-08-01
504 MS_DRG Foot Procedures With Cc 1 1 — — $47,864.33 $47,864.33 $47,864.33 2025-08-01
505 MS_DRG Foot Procedures Without Cc/Mcc 1 1 — — $17,069.13 $17,069.13 $17,069.13 2025-08-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 1 1 — — $22,055.61 $22,055.61 $22,055.61 2025-08-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 4 4 — — $18,437.46 $18,437.46 $18,437.46 2025-08-01
512 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/… 4 4 — — $14,295.83 $14,295.83 $14,295.83 2025-08-01
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc 2 2 — — $11,153.02 $11,153.02 $11,153.02 2025-08-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 2 2 — — $32,266.99 $32,266.99 $32,266.99 2025-08-01
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 7 7 — — $14,320.74 $14,320.74 $14,320.74 2025-08-01
517 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/Mc… 5 5 — — $16,244.89 $16,244.89 $16,244.89 2025-08-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 4 4 — — $46,867.53 $46,867.53 $46,867.53 2025-08-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 7 7 — — $26,291.44 $26,291.44 $26,291.44 2025-08-01
5194 OTHER Level 4 Endovascular Procedures 10 10 — — $18,453.55 $18,453.55 $18,453.55 2025-08-01
52 MS_DRG Spinal Disorders And Injuries With Cc/Mcc 3 3 — — $22,197.78 $22,197.78 $22,197.78 2025-08-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 1 1 — — $15,814.47 $15,814.47 $15,814.47 2025-08-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 6 6 — — $24,513.77 $24,513.77 $24,513.77 2025-08-01
5222 OTHER Level 2 Pacemaker And Similar Procedures 10 10 — — $42,654.29 $42,654.29 $42,654.29 2025-08-01
5223 OTHER Level 3 Pacemaker And Similar Procedures 11 11 — — $17,794.44 $17,794.44 $17,794.44 2025-08-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 2 2 — — $28,436.23 $28,436.23 $28,436.23 2025-08-01
5231 OTHER Level 1 Icd And Similar Procedures 5 5 — — $27,954.90 $27,954.90 $27,954.90 2025-08-01
5232 OTHER Level 2 Icd And Similar Procedures 8 8 — — $38,209.72 $38,209.72 $38,209.72 2025-08-01
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 2 2 — — $14,810.24 $14,810.24 $14,810.24 2025-08-01
5376 OTHER Level 6 Urology And Related Services 6 6 — — $16,458.79 $16,458.79 $16,458.79 2025-08-01
539 MS_DRG Osteomyelitis With Mcc 2 2 — — $12,717.45 $12,717.45 $12,717.45 2025-08-01
54 MS_DRG Nervous System Neoplasms With Mcc 4 4 — — $11,215.12 $11,215.12 $11,215.12 2025-08-01
540 MS_DRG Osteomyelitis With Cc 2 2 — — $13,330.24 $13,330.24 $13,330.24 2025-08-01
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 3 3 — — $10,808.92 $10,808.92 $10,808.92 2025-08-01
5432 OTHER Level 2 Nerve Procedures 2 2 — — $11,222.89 $11,222.89 $11,222.89 2025-08-01
545 MS_DRG Connective Tissue Disorders With Mcc 2 2 — — $15,800.51 $15,800.51 $15,800.51 2025-08-01
551 MS_DRG Medical Back Problems With Mcc 3 3 — — $13,936.72 $13,936.72 $13,936.72 2025-08-01
552 MS_DRG Medical Back Problems Without Mcc 11 11 — — $18,017.99 $18,017.99 $18,017.99 2025-08-01
553 MS_DRG Bone Diseases And Arthropathies With Mcc 1 1 — — $10,233.16 $10,233.16 $10,233.16 2025-08-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 5 5 — — $9,975.10 $9,975.10 $9,975.10 2025-08-01
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 4 4 — — $21,449.74 $21,449.74 $21,449.74 2025-08-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 6 6 — — $26,047.92 $26,047.92 $26,047.92 2025-08-01
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 6 6 — — $10,848.52 $10,848.52 $10,848.52 2025-08-01
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc 3 3 — — $18,743.94 $18,743.94 $18,743.94 2025-08-01
5627 OTHER Level 7 Radiation Therapy 5 5 — — $10,317.00 $10,317.00 $10,317.00 2025-08-01
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 5 5 — — $13,303.75 $13,303.75 $13,303.75 2025-08-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 13 13 — — $15,050.90 $15,050.90 $15,050.90 2025-08-01
571 MS_DRG Skin Debridement With Cc 2 2 — — $11,779.20 $11,779.20 $11,779.20 2025-08-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 1 1 — — $45,073.65 $45,073.65 $45,073.65 2025-08-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 4 4 — — $13,431.53 $13,431.53 $13,431.53 2025-08-01
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 2 2 — — $13,818.35 $13,818.35 $13,818.35 2025-08-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 1 1 — — $16,206.38 $16,206.38 $16,206.38 2025-08-01
592 MS_DRG Skin Ulcers With Mcc 1 1 — — $9,768.89 $9,768.89 $9,768.89 2025-08-01
602 MS_DRG Cellulitis With Mcc 4 4 — — $18,401.20 $18,401.20 $18,401.20 2025-08-01
603 MS_DRG Cellulitis Without Mcc 10 10 — — $9,700.08 $9,700.08 $9,700.08 2025-08-01
604 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 1 1 — — $10,189.13 $10,189.13 $10,189.13 2025-08-01
605 MS_DRG Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc 5 5 — — $20,707.53 $20,707.53 $20,707.53 2025-08-01
606 MS_DRG Minor Skin Disorders With Mcc 1 1 — — $11,008.25 $11,008.25 $11,008.25 2025-08-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $19,115.18 $19,115.18 $19,115.18 2025-08-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 2 2 — — $20,037.92 $20,037.92 $20,037.92 2025-08-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 3 3 — — $15,101.93 $15,101.93 $15,101.93 2025-08-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/Mcc 5 5 — — $17,636.12 $17,636.12 $17,636.12 2025-08-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $25,007.05 $25,007.05 $25,007.05 2025-08-01
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $14,420.34 $14,420.34 $14,420.34 2025-08-01
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 1 1 — — $13,183.97 $13,183.97 $13,183.97 2025-08-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 2 2 — — $22,755.19 $22,755.19 $22,755.19 2025-08-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 6 6 — — $16,085.05 $16,085.05 $16,085.05 2025-08-01
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 5 5 — — $9,542.41 $9,542.41 $9,542.41 2025-08-01
643 MS_DRG Endocrine Disorders With Mcc 4 4 — — $18,811.35 $18,811.35 $18,811.35 2025-08-01
644 MS_DRG Endocrine Disorders With Cc 3 3 — — $11,386.63 $11,386.63 $11,386.63 2025-08-01
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 8 8 — — $12,727.65 $12,727.65 $12,727.65 2025-08-01
653 MS_DRG Major Bladder Procedures With Mcc 2 2 — — $38,102.18 $38,102.18 $38,102.18 2025-08-01
654 MS_DRG Major Bladder Procedures With Cc 2 2 — — $20,427.30 $20,427.30 $20,427.30 2025-08-01
655 MS_DRG Major Bladder Procedures Without Cc/Mcc 1 1 — — $26,072.19 $26,072.19 $26,072.19 2025-08-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $24,220.19 $24,220.19 $24,220.19 2025-08-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 4 4 — — $19,171.10 $19,171.10 $19,171.10 2025-08-01
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc 3 3 — — $16,039.84 $16,039.84 $16,039.84 2025-08-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 6 6 — — $21,464.01 $21,464.01 $21,464.01 2025-08-01
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 9 9 — — $16,429.83 $16,429.83 $16,429.83 2025-08-01
661 MS_DRG Kidney And Ureter Procedures For Non-neoplasm Without Cc/Mcc 9 9 — — $15,663.71 $15,663.71 $15,663.71 2025-08-01
662 MS_DRG Minor Bladder Procedures With Mcc 1 1 — — $23,208.51 $23,208.51 $23,208.51 2025-08-01
663 MS_DRG Minor Bladder Procedures With Cc 1 1 — — $10,431.64 $10,431.64 $10,431.64 2025-08-01
666 MS_DRG Prostatectomy With Cc 3 3 — — $11,870.51 $11,870.51 $11,870.51 2025-08-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 9 9 — — $39,530.53 $39,530.53 $39,530.53 2025-08-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 4 4 — — $21,079.22 $21,079.22 $21,079.22 2025-08-01
683 MS_DRG Renal Failure With Cc 8 8 — — $9,747.55 $9,747.55 $9,747.55 2025-08-01
707 MS_DRG Major Male Pelvic Procedures With Cc/Mcc 5 5 — — $18,265.00 $18,265.00 $18,265.00 2025-08-01
708 MS_DRG Major Male Pelvic Procedures Without Cc/Mcc 3 3 — — $10,764.11 $10,764.11 $10,764.11 2025-08-01
71 MS_DRG Other Cerebrovascular Disorders With Cc 6 6 — — $9,551.35 $9,551.35 $9,551.35 2025-08-01
710 MS_DRG Penis Procedures Without Cc/Mcc 1 1 — — $9,785.09 $9,785.09 $9,785.09 2025-08-01
713 MS_DRG Transurethral Prostatectomy With Cc/Mcc 2 2 — — $14,443.41 $14,443.41 $14,443.41 2025-08-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 1 1 — — $16,716.39 $16,716.39 $16,716.39 2025-08-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 2 2 — — $18,083.19 $18,083.19 $18,083.19 2025-08-01
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc 2 2 — — $19,919.03 $19,919.03 $19,919.03 2025-08-01
787 MS_DRG Cesarean Section Without Sterilization With Cc 8 8 — — $10,833.26 $10,833.26 $10,833.26 2025-08-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 6 — — $60,534.00 $60,534.00 $60,534.00 2025-08-01
791 MS_DRG Prematurity With Major Problems 2 2 — — $44,472.28 $44,472.28 $44,472.28 2025-08-01
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 1 1 — — $16,458.35 $16,458.35 $16,458.35 2025-08-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 2 2 — — $14,036.46 $14,036.46 $14,036.46 2025-08-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 3 3 — — $22,304.18 $22,304.18 $22,304.18 2025-08-01
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 4 4 — — $9,821.24 $9,821.24 $9,821.24 2025-08-01
818 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Cc 1 1 — — $10,897.08 $10,897.08 $10,897.08 2025-08-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 7 7 — — $15,480.94 $15,480.94 $15,480.94 2025-08-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 2 — — $25,909.98 $25,909.98 $25,909.98 2025-08-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $16,107.70 $16,107.70 $16,107.70 2025-08-01
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 2 — — $30,799.78 $30,799.78 $30,799.78 2025-08-01
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 4 4 — — $16,816.47 $16,816.47 $16,816.47 2025-08-01
834 MS_DRG Acute Leukemia With Mcc 1 1 — — $41,210.97 $41,210.97 $41,210.97 2025-08-01
835 MS_DRG Acute Leukemia With Cc 1 1 — — $10,668.29 $10,668.29 $10,668.29 2025-08-01
84 MS_DRG Traumatic Stupor And Coma >1 Hour Without Cc/Mcc 3 3 — — $11,079.57 $11,079.57 $11,079.57 2025-08-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 1 1 — — $12,925.47 $12,925.47 $12,925.47 2025-08-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 2 2 — — $12,401.97 $12,401.97 $12,401.97 2025-08-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 8 8 — — $13,257.44 $13,257.44 $13,257.44 2025-08-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 2 2 — — $19,518.35 $19,518.35 $19,518.35 2025-08-01
86 MS_DRG Traumatic Stupor And Coma <1 Hour With Cc 5 5 — — $10,281.52 $10,281.52 $10,281.52 2025-08-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 7 7 — — $11,459.33 $11,459.33 $11,459.33 2025-08-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 1 1 — — $13,985.73 $13,985.73 $13,985.73 2025-08-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 18 18 — — $11,535.22 $11,535.22 $11,535.22 2025-08-01
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 16 16 — — $11,428.10 $11,428.10 $11,428.10 2025-08-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $22,050.00 $22,050.00 $22,050.00 2025-08-01
885 MS_DRG Psychoses 19 19 — — $14,939.33 $14,939.33 $14,939.33 2025-08-01
9002 OTHER Tenecteplase Injection 3 3 — — $13,007.41 $13,007.41 $13,007.41 2025-08-01
9010 OTHER Inj Efgartigimod 2mg 2 2 — — $12,904.31 $12,904.31 $12,904.31 2025-08-01
9013 OTHER Inj Risankizumab-rzaa?1 Mg 3 3 — — $21,388.21 $21,388.21 $21,388.21 2025-08-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 1 1 — — $37,325.77 $37,325.77 $37,325.77 2025-08-01
9057 OTHER Inj Nivol Relatlimab 3mg/1mg 1 1 — — $30,192.27 $30,192.27 $30,192.27 2025-08-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 3 3 — — $10,579.30 $10,579.30 $10,579.30 2025-08-01
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/Mcc 1 1 — — $13,802.44 $13,802.44 $13,802.44 2025-08-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 6 6 — — $10,035.20 $10,035.20 $10,035.20 2025-08-01
9109 OTHER Inj, Elahere, 1 Mg 1 1 — — $58,025.34 $58,025.34 $58,025.34 2025-08-01
9110 OTHER Inj, Tremelimumab-actl, 1 Mg 1 1 — — $54,906.48 $54,906.48 $54,906.48 2025-08-01
9126 OTHER Natalizumab Injection 7 7 — — $13,285.20 $13,285.20 $13,285.20 2025-08-01
9131 OTHER Inj, Ado-trastuzumab Emt 1mg 3 3 — — $22,681.26 $22,681.26 $22,681.26 2025-08-01
915 MS_DRG Allergic Reactions With Mcc 1 1 — — $12,788.07 $12,788.07 $12,788.07 2025-08-01
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 5 5 — — $13,418.03 $13,418.03 $13,418.03 2025-08-01
9186 OTHER Inj., Rituximab, 10 Mg 14 14 — — $15,287.73 $15,287.73 $15,287.73 2025-08-01
919 MS_DRG Complications Of Treatment With Mcc 3 3 — — $12,259.23 $12,259.23 $12,259.23 2025-08-01
92 MS_DRG Other Disorders Of Nervous System With Cc 7 7 — — $9,741.70 $9,741.70 $9,741.70 2025-08-01
9214 OTHER Bevacizumab Injection 4 4 — — $19,097.66 $19,097.66 $19,097.66 2025-08-01
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 1 1 — — $22,594.02 $22,594.02 $22,594.02 2025-08-01
9235 OTHER Panitumumab Injection 4 4 — — $12,140.42 $12,140.42 $12,140.42 2025-08-01
9236 OTHER Eculizumab Injection 1 1 — — $26,882.63 $26,882.63 $26,882.63 2025-08-01
9245 OTHER Romiplostim Injection 3 3 — — $10,519.66 $10,519.66 $10,519.66 2025-08-01
9261 OTHER Ustekinumab Sub Cu Inj, 1 Mg 1 1 — — $44,313.44 $44,313.44 $44,313.44 2025-08-01
9274 OTHER Crotalidae Poly Immune Fab 1 1 — — $11,937.37 $11,937.37 $11,937.37 2025-08-01
9281 OTHER Injection, Pegloticase 2 2 — — $38,461.22 $38,461.22 $38,461.22 2025-08-01
9284 OTHER Ipilimumab Injection 2 2 — — $48,587.98 $48,587.98 $48,587.98 2025-08-01
9287 OTHER Brentuximab Vedotin Inj 2 2 — — $40,773.61 $40,773.61 $40,773.61 2025-08-01
9302 OTHER Inj Daunorubicin, Cytarabine 1 1 — — $57,139.86 $57,139.86 $57,139.86 2025-08-01
9312 OTHER Inj., Ravulizumab-cwvz 10 Mg 1 1 — — $71,595.40 $71,595.40 $71,595.40 2025-08-01
9330 OTHER Inj., Kanjinti, 10 Mg 1 1 — — $22,190.46 $22,190.46 $22,190.46 2025-08-01
9331 OTHER Inj, Polatuzumab Vedotin 1mg 3 3 — — $22,474.31 $22,474.31 $22,474.31 2025-08-01
9347 OTHER Inj Luspatercept-aamt 0.25mg 3 3 — — $22,599.14 $22,599.14 $22,599.14 2025-08-01
9364 OTHER Inj Enfort Vedo-ejfv 0.25mg 1 1 — — $23,378.27 $23,378.27 $23,378.27 2025-08-01
9378 OTHER Daratumumab, Hyaluronidase 6 6 — — $13,255.18 $13,255.18 $13,255.18 2025-08-01
9390 OTHER Pertuzu, Trastuzu, 10 Mg 1 1 — — $20,187.20 $20,187.20 $20,187.20 2025-08-01
9434 OTHER Inj Anifrolumab-fnia 1mg 7 7 — — $9,713.60 $9,713.60 $9,713.60 2025-08-01
9453 OTHER Injection, Nivolumab 11 11 — — $15,008.97 $15,008.97 $15,008.97 2025-08-01
947 MS_DRG Signs And Symptoms With Mcc 5 5 — — $16,947.24 $16,947.24 $16,947.24 2025-08-01
948 MS_DRG Signs And Symptoms Without Mcc 5 5 — — $12,174.18 $12,174.18 $12,174.18 2025-08-01
9483 OTHER Inj, Atezolizumab,10 Mg 7 7 — — $23,453.35 $23,453.35 $23,453.35 2025-08-01
9491 OTHER Injection, Avelumab, 10 Mg 2 2 — — $14,679.22 $14,679.22 $14,679.22 2025-08-01
9492 OTHER Inj., Durvalumab, 10 Mg 8 8 — — $15,241.07 $15,241.07 $15,241.07 2025-08-01
9494 OTHER Injection, Ocrelizumab 6 6 — — $56,300.79 $56,300.79 $56,300.79 2025-08-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 2 2 — — $12,118.70 $12,118.70 $12,118.70 2025-08-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $49,160.07 $49,160.07 $49,160.07 2025-08-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $31,205.87 $31,205.87 $31,205.87 2025-08-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 5 5 — — $232,085.42 $232,085.42 $232,085.42 2025-08-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 1 1 — — $37,704.56 $37,704.56 $37,704.56 2025-08-01
964 MS_DRG Other Multiple Significant Trauma With Cc 4 4 — — $11,775.81 $11,775.81 $11,775.81 2025-08-01
965 MS_DRG Other Multiple Significant Trauma Without Cc/Mcc 1 1 — — $12,162.85 $12,162.85 $12,162.85 2025-08-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 2 2 — — $28,883.06 $28,883.06 $28,883.06 2025-08-01
974 MS_DRG HIV With Major Related Condition With Mcc 1 1 — — $19,888.14 $19,888.14 $19,888.14 2025-08-01
975 MS_DRG HIV With Major Related Condition With Cc 1 1 — — $13,951.83 $13,951.83 $13,951.83 2025-08-01
977 MS_DRG HIV With Or Without Other Related Condition 1 1 — — $15,045.71 $15,045.71 $15,045.71 2025-08-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 3 — — $17,304.26 $17,304.26 $17,304.26 2025-08-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 1 1 — — $12,306.55 $12,306.55 $12,306.55 2025-08-01
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 3 — — $15,793.22 $15,793.22 $15,793.22 2025-08-01
999 MS_DRG Ungroupable 7 7 — — $18,455.42 $18,455.42 $18,455.42 2025-08-01
See an error in this hospital's data? Submit a correction